Shirin Kh Turabekova
Tashkent Pediatric Medical Institute, Uzbekistan
Title: Studying the risk factors for cerebral palsy to develop a prevention and early intervention strategy
Biography
Shirin Turabekova in 2017 graduated from the Medical College. P.F. Borovsky for a nurse, is currently a 3rd year student of the Tashkent Pediatric Medical Institute, a member of the student scientific society. She is also a volunteer of the youth movement of Uzbekistan, during the summer holidays she patronized families at home, special attention was paid to the elderly family members and children. Emphasis was placed on improving medical culture among the population, promoting a healthy lifestyle, and engaging in sports. She also took an active part in humanitarian actions for the International Children's Day and the International Day of Persons with Disabilities.Organized an exhibition and sale of children's work performed by patients in the Republican Children's Psychoneurological Hospital. Studies have begun on the analysis of childhood disability in the country, the study of its structure, reasons for growth in order to develop recommendations for preventing the birth of children with disabilities.
Abstract
Aim: Identify the leading risk factors for Cerebral Palsy (CP) in Uzbekistan. Method: We studied 126 case histories of patients who received treatment at the Republican Children’s Psychoneurological Hospital from all regions of the country. In accordance with the forms of CP: Spastic diplegia was in 69 patients, Pediatric hemiplegia - 19, Dyskinetic CP - 21, Consequences of meningoencephalitis - 17. According to the international classification system for large motor functions in CP GMFCS, patients were distributed: CMFCS I - 21 children, CMFCS II - 23, CMFCS III - 27, CMFCS IV - 26 and CMFCS V - 29. The history and results of examinations (Neurosonography (NSG), MRI) made in the early period of the disease were carefully studied. Particular attention was paid to the presence of extragenital diseases in the mother, the pathology of pregnancy and childbirth, the presence of TORCH infection, birth weight and Apgar score. Result: Follow-up studies have identified the following risk factors: (1) Preterm birth occurred in 53% of cases, (2) Low birth weight (<1500 g) in 43% of subjects, (3) Intrauterine infections - 27%, (4) Asphyxia - 22%, (5) Multiple pregnancy - 10%, (6) Prematurity was combined with low weight in 43% of children, and (7) Prematurity with asphyxia in 10%. According to the results of NSG, in 61% of cases, a cystic form of PVL was noted; on MRI, 47% had cortical-subcortical lesions (multicystic encephalomalacia and heart attack). Conclusion: All premature infants with low birth weight (less than 1500 g) must be taken into account and early intervention to prevent the formation of CP with the participation of a multidisciplinary team of specialists. Conducting early intervention leads to the prevention of CP, in cases of its formation, to reduce the degree of disability of the child.